Proceedings

Statutes Division GenSurg

Statutes of the Division of General Surgery (GenSurg)


1. Introduction

General Surgery (GenSurg) is a Division within the "Section of Surgery" which was formed in 2015 to prepare specific advice on issues relating to training, harmonisation, standardisation of training and professional practice in General Surgery (GenSurg) within the UEMS countries for the benefit of training in GenSurg and patient care.

The "Division of General Surgery" is a non-profit organisation.

2. Title and Board

The section shall be known as the "Division of General Surgery" associated with the "Section of Surgery" of the "European Union of Medical Specialists" (UEMS) and the "European Board of Surgery" (EBS).

The "Division of General Surgery" with its "Board of General Surgery" is especially responsible for the GenSurg Board Examination of the EBS.

3. Composition

3.1. There shall be up to two representatives from each member state of the UEMS who shall be nominated by the competent national professional medical organisation(s), which can be the national scientific society and/or professional organisation in official communication with the UEMS and the EBS.

 3.2. In any voting process, each country is entitled to only one vote. If a country has two members and one of them is present at the time of a vote, this member is entitled to vote without consulting the second member. If both members are present and consensus cannot be achieved, the most senior (longer serving member) is entitled to vote.

In the event of a full member being unable to attend a meeting, he/she may nominate a deputy previously nominated by the national medical organization to attend in his place, subject to the prior approval of the chairperson.

3.3. The "Division of General Surgery" may include non-voting delegates representing e.g. the major European scientific societies, associations for surgeons in training and representatives of the associated and observer countries of the UEMS.

Official national organisations for GenSurg surgeons in associated and observer UEMS countries may be invited to nominate representatives to attend meetings at the discretion of the President. Representatives of these countries shall not have entitlement to vote.

3.4. The tenure of each full member shall be for 4 years. The mandate shall be renewable.

Following completion of their term, the members of the "Division of General Surgery" are responsible for ensuring their succession following consultation with their professional organisations. This is to ensure proper representation of all countries at any given time.

3.5. The President of the UEMS Section of Surgery and the President of the European Board of Surgery shall be voting members of the "Division of General Surgery".

3.6.The "Division of General Surgery" shall elect an Executive Committee from amongst its members, which will include the Chairperson, Vice Chairperson, a Secretary and a Treasurer. The last two offices may be held by the same person.

3.7. The Chairperson and Vice Chairperson shall have a tenure of 4 years and shall be eligible for re-election. The Chairperson and Vice Chairperson shall not be elected at the same time. The tenure of the Secretary will be for 4 years, renewable for up to two further terms of 4 years.

The Vice Chairperson and Secretary/Treasurer shall be eligible for election as Chairperson.

A Founding and/or Honorary President can be full-voting member of the Executive Committee.

3.8. Official representatives of full EU member states shall be eligible for election to office.

For the election of Executive Officers the Secretary will notify members of the "Division of General Surgery" of an impending vacancy one year in advance and ask for nominations at the same time.

Any nomination should be proposed and seconded by two members of the Division. The Secretary will then arrange a postal ballot to all members of the Division 6 months before the appointment will become active.

3.9. The Chairperson and Secretary of the Division shall attend meetings of the Speciality Section of Surgery of the UEMS and the EBS as ex-officio members. If the Chairperson or the Secretary cannot attend the meeting, the Chairperson can authorise any other member of the Executive Committee to represent the "Division of General Surgery".

3.10. The Division may appoint working parties or comGenSurgsions to prepare draft documents or recommendations on specific topics for consideration by the full "Division of General Surgery".

4. Objectives

4.1. To prepare advice concerning all aspects of professional practice in GenSurg in the context of the EU for the benefit of the EU political administration through the UEMS structure and ensuring that training in GenSurg is maintained at the highest level.

5. Accountability

5.1. The "Division of General Surgery" shall report to the UEMS Management Council through the UEMS Section of Surgery and the EBS.

5.2. Relations with any organization or institution outside the UEMS shall be in accordance with the current UEMS rules of procedure.

6. Functioning

6.1. The "Division of General Surgery" shall meet at least once per year and the minutes of the meeting shall be forwarded to the UEMS Section of Surgery and the EBS. The date and place of every meeting is to be decided at the end of the previous meeting.

The Division meetings can be in conjunction with the UEMS Section of Surgery as common trunk to all Boards is an issue.

The business meeting of the Division can be linked to a EBS GenSurg examination process and to the relevant location.

Extraordinary meetings can be called by the Executive Committee or following the request of one or more members and approval by the Executive Committee.

6.2. Meetings will be made known to the Section of Surgery.

6.3. Meetings shall be organised in such a way that will allow the maximum possible number of members to attend and to entail the minimum of expense.

6.4. Meetings may be attended by the General Secretary of the UEMS or a nominated deputy who shall be a member of the Management Council.

Meetings may also be attended by the President of the UEMS Section of Surgery or the President of the EBS or a nominated deputy who is a member of the Management Council of the UEMS Section of Surgery.

6.5. The agenda shall consist of subjects proposed by the members of the Division, officers of the UEMS Section and Board.

6.6. The agenda shall be circulated to the members and the Secretary General of the UEMS, the UEMS Section of Surgery and the EBS at least 1 month before the meeting.

6.7. The minutes of the meetings shall be circulated to all members, the President and Secretary of the UEMS Section of Surgery, the President of the EBS, the General Secretary of the UEMS and the Management Council of the UEMS within 1 month of the meeting.

7. Financing

7.1. The "Division of General Surgery" is a non-profit organization and is financed by the fees of the applicants for the two parts of the GenSurg EBS Eligibility I and II accreditation process.

The Division is also financed by any legal financial benefits for its contribution to various professional/scientific activities (i.e. meetings, publications).

The Division can accept legal public (i.e. EU bodies, national government bodies, professional/scientific organisations) or private (i.e. gifts, contribution by the commercial sector) contributions donations.

A financial contribution/donation to the Division can only be accepted under the strict rule that is offered in order to help the Division to achieve its objectives and without any obligation of the Division towards the body(ies)/organisation(s)/person(s) offering the contribution/donation.

7.2. The Division shall hold a subaccount in Euros according to the statutes regulation of the UEMS.

The Treasurer and one more nominated person by the Executive Committee are the authorised users of the account.

The Treasurer and the second nominated user of the account have to present at the annual meeting of the Division a signed report of the account as well as copies of the bank statements of the account.

The Treasurer and the second nominated user must also forward each annual report to the Treasurer of the Section of Surgery of the UEMS and the EBS.

8. Funds

The national scientific societies and/or the official national organisations and/or professional organisations shall be responsible for the travel and accommodation expenses to enable its representative to attend the meetings.

9. Board of General Surgery

9.1. The "Division of General Surgery" shall create a "Board of General Surgery" that will be entrusted with the problems of training, EBSQ Board Examination, Continuing Medical Education (CME), Continous Professional Development (CPD) and quality management for the accreditation of GenSurg surgeons and specialised organisational structures (e.g. Department for GenSurg Surgery).

9.2. The Board will have the responsibility to develop the necessary documents for defining the "transferable competency" of GenSurg by developing a syllabus including the content of training and learning outcome in GenSurg, defining mandatory theoretical knowledge, practical and clinical skills (with a detailed catalogue of interventions, procedures and operations including provisional arrangements and compensatory rules), training requirements for recognition of trainers and training institutions and mechanisms for assessement and evaluation, all in cooperation with the EBS and following the standards and regulations provided by the EBS.

9.3. The Board will have the responsibility of organising the qualification process to be accredited as "Fellow of the European Board of Surgery /GenSurg" (F.E.B.S. /GenSurg) in cooperation with the EBS and following the standards and regulation provided by the EBS.

9.4. The Board shall implement all structures and processes for Eligibility and Examination quality management including the creation of an Eligibility Committee, an Examination Committee and a Credentials Committee following the regulations by the EBS.

The Board qualification process for Fellowship shall undergo a regular external quality control process and audit as provided e.g. by the CESMA (Council of European Specialist Medical Examinations).

9.5. The Board Examination shall include a MCQ test and an OSCE circuit according to the provisions and standards provided by the EBS.

9.6. Visitation and accreditation of Training Centers shall be performed according to the UEMS provisions.

9.7. The Board will have the responsibility to substantially cooperate in the harmonisation and standardisation process of European surgical training.

10. Future Amendments

The Statutes as well as the EBS Fellowship qualification process (Eligibility and Examination) can be amended following relevant suggestion by a member of the "Division of General Surgery" and approval by 2/3 (two thirds) of the countries members which are represented at the time of the discussion of the amendment. For that 50% +1 of the countries members of the Division should be represented.

All amendments shall be in accordance with the EBS standards and regulations for the Fellowship qualification process.

Arthur Felice
President of the Division of General Surgery

Wolfgang Feil
President of the European Board of Surgery
Foundation & Honorary President of the Division of General Surgery

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last revision: January 2015

Statutes Board of GenSurg

Statutes of the Board of General Surgery (EBGenSurg)

The UEMS invited its specialist sections with the formation of their own European Boards for their respective specialties.

Members shall be leading representatives of the national organisations and scientific societies representing their country on a professional, scientific and university basis.

The foundation shall be constituted in accordance with these statutes and the rules of procedure of UEMS and the specialist sections.

The European Boards shall provide fresh impetus for achieving high quality medicine and completing arrangements for the free movement of specialist doctors.

1. Introduction

The "European Board of GenSurg (EBGenSurg)" is created within the "Division of GenSurg" and in association with the "European Board of Surgery" (EBS) and the "Section of Surgery" of the UEMS.

The EBGenSurg is constituted in accordance with the statutes, declarations and rules of procedure of the UEMS.

The members of the EBGenSurg shall be elected from leading representatives of the national organisations and scientific societies of general surgery of UEMS full member countries on a professional, scientific and academic basis.

The EBGenSurg shall achieve its objectives by setting and recommending standards to the EBS and by encouraging health authorities, national and international scientific societies of general surgery to live up to such standards.

2. Objectives

The main objective is to guarantee to the patients the highest standards of care in the field of General Surgery in the countries of the European Union (EU) by ensuring that the training of the general surgeon is raised and maintained to the highest possible level. This shall be achieved by the following means:

The EBGenSurg shall assess and report to the "Division of GenSurg", the EBS and the Section of Surgery the current contents and quality of training in general surgery in the different countries of the EU.

The EBGenSurg shall define the contents of training of general surgeons (syllabus, log-book) and standards for training programs and shall implement mechanisms for the maintenance of these standards.

The EBGenSurg shall define the requirements to which the training institutions and teachers in general surgery should conform. Based on the agreement of participating institutions, requirements can be subjected to site-visit control.

After appropriate assessment of eligible candidates the EBGenSurg shall recommend to the EBS the issuance of an European Board Fellowship in GenSurg.

Assessment of the quality of training of general surgeons may take place at his/her request according to the different criteria laid down by the EBGenSurg.

The EBGenSurg shall facilitate the exchange of general surgical trainees between the training centers of the various countries of the EU to enable a better harmonisation and quality of training.

The EBGenSurg shall establish criteria of evaluation in Continuing Education.

Visitation and accreditation of Training Centers shall be performed according to the UEMS provisions.

The Board will have the responsibility to substantially cooperate in the harmonisation and standardisation process of European surgical training.

3. Accountability

The Executive Bureau of the UEMS shall officially communicate with the EBS through the "Section of Surgery" and the "Division of GenSurg".

The "Section of Surgery" and the Executive Bureau of the UEMS shall be entrusted with communicating all opinions issuing from the EBGenSurg and the "Division of GenSurg" to the competent UEMS bodies.

The "Division of GenSurg" shall submit through the "Section of Surgery" to the UEMS for ratification any changes to statutes relating to the membership and functioning of the EBGenSurg.

4. Board Composition and Members

The EBGenSurg shall consist of one or two representatives of each member state. One representative shall be a member of the national delegation to the "Division of GenSurg". The Division can appoint an additional representative, after inviting nomination from the relevant national professional bodies.

The EBS shall nominate one or two of its members to attend meetings of the EBGenSurg. They may send substitutes. The scientific and/ or professional societies of General Surgeons in the EU and representative organisations of general surgeons in training may be invited to nominate non-voting observers to attend meetings at the discretion of the Chairperson.

The Chairperson of the Management Committee may invite consulting experts in the context of its (their) activities, who have no voting rights.

The replacement of an EBGenSurg member or his/her substitute may be decided by the respective National Society by withdrawing the nomination to the EBGenSurg. The replacement must be indicated to the "Division of GenSurg". The term of representation will be 4 years and will be renewable. The terms of the 2nd representative of a country follow the same scheme but will stagger with the terms of the 1st representative.

5. Management Committee

A Management Committee will be elected amongst the EBGenSurg members. The latter is composed of a Chairperson and Vice-Chairperson. The Treasurer and Secretary are the same as those in the "Division of GenSurg".

The President of the European Board of Surgery shall be member of the Management Committee with full voting rights.

The Management Committee shall communicate with the General Secretary of the UEMS, the Section and Board of Surgery and the "Division of GenSurg" who shall be informed of the activities of the EBGenSurg as prescribed in the Statutes of the UEMS (minutes of plenary meetings decisions taken, all changes in the membership of the Boards, changes in Management Committee, etc.).

Duration of terms of office of the Management Committee: The Chairperson, the Vice-Chairperson shall remain in office for 4 years and the terms are renewable.

6. Funds

The funds of the Board shall be acquired by: contributions of the national associations and societies of general surgery - subsidies and donations - gifts, institutes of heir and legacies - other legal benefits - fees for European Board of Surgery Qualifications (EBSQ) assessments.

7. Meetings of Board Members

A session is held at least once a year in conjunction with the session of the "Division of GenSurg". Additional meetings may be convened by the Management Committee, in agreement with or at the instigation of the UEMS "Division of GenSurg".

The agenda consists of items proposed by members of the EBGenSurg, by the Management Committee, by the "Division of GenSurg"/Section of Surgery, by the EBS or by the UEMS Management Council or its Secretary General.

The agenda of the meeting shall be communicated to the EBGenSurg members at least one month before the meeting.

The minutes of the meetings, as well as all resolutions, recommendations, opinions, studies and other documents are to be sent after approval by the EBGenSurg to the Chairperson and the members of the EBGenSurg, to the President and the members of the Division, to the Secretary of the Section of Surgery, the secretary of the EBS and to the UEMS Secretary General.

The Management Committee meets at least every six months. The meetings are convened by the Chairperson and/or the Secretary. The agenda and the relevant information are described to the Management Committee members.

In order to save time and money the meetings of the EBGenSurg should be held at the same time and location as the meetings of the Division of General Surgery and the Section of Surgery. The agenda of these committees should be harmonised in advance to enhance effective project work.

8. Voting

Each country represented on the EBGenSurg has one vote. The EBS also has a single vote. Representatives of a UEMS associated or observer countries have a consultative voice only.

9. Board Examination and Fellowship

The "European Board of GenSurg (EBGenSurg)" within the "Division of GenSurg" is entrusted with the problems of training, EBSQ Board Examination, Continuing Medical Education (CME), Continous Professional Development (CPD) and quality management for the accreditation of GenSurg surgeons and specialised organisational structures (e.g. Department for GenSurg).

The Board will have the responsibility to develop the necessary documents for defining the "transferable competency" of GenSurg by developing a syllabus including the content of training and learning outcome in GenSurg, defining mandatory theoretical knowledge, practical and clinical skills (with a detailed catalogue of interventions, procedures and operations including provisional arrangements and compensatory rules), training requirements for recognition of trainers and training institutions and mechanisms for assessement and evaluation, all in cooperation with the EBS and following the standards and regulations provided by the EBS.

The Board will have the responsibility of organising the qualification process to be accredited as "Fellow of the European Board of Surgery /General Surgery(F.E.B.S./GenSurg) in cooperation with the EBS and following the standards and regulation provided by the EBS.

The Board shall implement all structures and processes for Eligibility and Examination quality management including the creation of an "Eligibility Committee", an "Examination Committee" and a "Credentials Committee" following the regulations by the EBS.

The Board qualification process for Fellowship shall undergo a regular external quality control process and audit as provided e.g. by the CESMA (Council of European Specialist Medical Examinations).

The Board Examination shall include a MCQ test and an OSCE circuit according to the provisions and standards provided by the EBS.

9. Committees

The EBGenSurg can designate committees, charged of the study and presentation of proposals concerning specific objectives of the EBGenSurg, always in accordance to the UEMS statutes and rules of procedure.

The committee(s) shall relate to the Management Committee.

10. Future Amendments

The Statutes as well as the EBSQ Certification Process (Eligibility and Examination) can be amended following relevant suggestion by a member of the Division and approval by 2/3 (two thirds) of the countries members which are represented at the time of the discussion of the amendment For that 50% +1 of the countries members of the Division should be represented.

All amendments shall be in accordance with the EBS standards and regulations for the Fellowship qualification process.

Arthur Felice
President of the Division of General Surgery

Wolfgang Feil
President of the European Board of Surgery
Foundation & Honorary President of the Division of General Surgery

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last revision: January 2015

Memorandum of Understanding (Beirut, Lebanon, 2014)

Memorandum of Understanding

A document confirming the cooperation between the UEMS Board of Surgery (EBS) and the Lebanese Society for General Surgery (LSGS) was signed on June 19th, 2014 in Beirut, Lebanon.

Memorandum Beirut 2014 

Preamble

The objective of the European Board of surgery (EBS) of the UEMS is to assess, set standards for and progressively harmonize the content and quality of training and continuing medical education (CME) and professional development in all fields of surgery within the member states of the European Union (EU) and other UEMS states towards legislation.

The medical communities of the East Mediterranean and North Africa suffer from heterogeneity in their standards of surgical education and surgical practice, and, due to their proximity to the European continent, wish to cooperate with the European institutions to level these standards to those of Europe.

This can only lead to the advancement of the professional development of surgeons in the region to the highest standards with the relevant international recognition.

The standards of surgical education (Knowledges & Skills) are published elsewhere in the relevant documents. The catalogue is the basis for the examination, which consists in an Eligibility procedure and the Board Examination. Successful candidates are rewarded the qualification "Fellow of the European Board of Surgery (F.E.B.S.)".

The Board Fellowship is a strategic key competency and steering tool to enhance personnel selection in the future. By that the EBS offers the application for the Board Fellowship to candidates from other countries in order to validate and monitor key competencies and the qualification of presumably migrating physicians.

The EBS closely cooperates with scientific societies (e.g. ESS) and the cooperation partners are integrated in the executive functional bodies of the Board. An outstanding feature of cooperation is to commonly conduct Board Examinations and Preparatory Courses.

Cooperation of the EBS with the LSGS

The following General Provisions and Outlines are valid providing that the application of the Lebanese Order of Physicians for Observer Status in the UEMS is going to be accepted.

The UEMS Section and Board of Surgery and the LSGS are in the process of establishing and implementing a new memorandum of understanding regarding their future collaboration.

This agreement consists in the following steps:

§ 1. General Provisions and Outlines
  1. Within the LSGS, a Lebanese Board of Surgery (LBS) exists since 2000, and covers the field of General surgery, as well as all its subspecialties.
  2. The LBS officially represents the LSGS in the UEMS Section and Board of Surgery and in the Division and Board of General Surgery as member with voting rights.
  3. The cooperation respects all regulations, documents and quality measures of the UEMS.
  4. The LBS is accountable to and reports directly to the EBS.
  5. The LBS acts as official, fully competent and functional UEMS representative organ in their designated field of operation following a relevant decision by the EBS.
  6. The EBS cooperates with the LBS and may delegate certain procedures and activities (e.g. preparatory courses, eligibility, examinations, visitations) to the LBS.
  7. The LBS receives a cooperation mandate from the EBS to establish a regional center for surgical training and evalution in the city of Beirut.
  8. The regional center in Beirut will serve as strategic bridgehead for common cooperative projects in the Near/Middle East and North Africa.
§ 2. Delegates in UEMS bodies
  1. The LBS nominates one delegate and a substitute for each of the following official UEMS Section/Board/Division bodies:
  • UEMS Section and Board of Surgery
  • Division of General Surgery
  • Eligibility Committee
  • Examination Committee
  • Credentials Committee
  • Preparatory Course Committee
  1. The LBS delegate is a full member in the UEMS Division and Board of General Surgery and covers e.g. the promotion of the common project, the acquisition of candidates for the Board Examination and the visitation and accreditation of centres.
  2. The LBS delegate in the Eligibility Committee takes regional responsibility for filtering and conducting the candidates' Eligibility process following the rules and criteria of the UEMS. Their initial recommendation is scrutinized according to the SOPs by the other members of the Eligibility Committee and formally approved by the EBS.
  3. The LBS delegate in the GenSurg Examination Committee ("Examination Liaison Officer") nominates the members of the local Examination Board to conduct the Board Examination, suggests Honorary Diploma (HD) and cooperates in the preparation and selection of questions.
  4. The LBS delegate in the Credential Committee serves following the rules of the EBS.
  5. The LBS delegate in the Preparatory Course Committee is responsible for the organisation of local courses and is invited to cooperate with the EBS in the organisation of courses in other locations.
  6. The election for the above mentioned posts will be conducted in Beirut in June 2014.
§ 3. Infrastructure & Organisation
  1. A local unit in Beirut within the LSGS secretarial office is established.
  2. A "hotline" between the Beirut and the Berlin office is established.
  3. A common "dropbox" for the exchange of documents is installed.
  4. The LBS is encouraged to set initiatives for the promotion of the common project in the relevant region in collaboration and under the auspices and following the ROPs of the UEMS referring to the President of the EBS.
  5. The promotion of the common project in the relevant region is established by publishing specialised leaflets, contacting the ministries of health, the medical associations, the academic centres and the training hospitals of these countries. Regular visits and conferences should be planned to occur every two years in each country.
§ 4. Board Examination
  1. Yearly examination sessions should take place in Beirut. A number of 50 candidates are prospectively awaited each year. For each session, between 8 and 12 examiners should be invited from the European countries. Their accommodation in Lebanon will be of 4 nights.
  2. The European examiners will be invited to Beirut by the LSGS who is supposed also to plan their travel and accommodation.
  3. The Diplomas to the successful applicants are provided by the UEMS-EBS.
  4. The relevant F.E.B.S. certificates carry the names and signatures of the UEMS Section of Surgery president, the EBS president and the LBS president.
  1. The LBS is allowed to offer to the successful applicants (Eligibility and Examination) a certificate of recognition of achievement which will carry, in addition to Lebanese signatures, the signature of the EBS president.
§ 5. Preparatory Courses
  1. Two training sessions per year should be organized in Lebanon or in other countries of the region (depending of the number of local candidates). Three lecturers from Lebanon and Europe will participate in each training session. For the whole period of five years, 10 training sessions will be implemented, half of them at least in Lebanon.
  2. The "Preparatory Course" are organised and conducted in cooperation with the UEMS EBS.
§ 6. Visitation and Accredidation
  1. The accredidation of visited training centers in the relevant area is conducted by the EBS and the LBS in cooperation following the regulations of the UEMS.
  2. All visitation cerificates and/or accreditation diploma are provided by the UEMS EBS.
§ 7. Final remarks

This agreement, in case of success, will help Lebanon, the Eastern Mediterranean and the North African countries to improve their surgical healthcare standards and to level their professional surgical practice to that of the European countries. The medical care of the local population will, doubtlessly, profit from this progress.

On the other hand, the European interest in this geographical area will be increased, bringing more mutual understanding and peaceful cooperation between the people of both regions.

Ghassan RAMADAN

The President of the European Society of Surgery
The President of the Lebanese Society for General Surgery

Wolfgang FEIL

The President of the European Board of Surgery
Chairman of the GenSurg Examination Board

Beirut, Lebanon, June 19th, 2014

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